OneSource RCM
Pricing
Transparent. Percentage-based. Built around how revenue actually behaves.
OneSource RCM uses transparent, percentage-based pricing whenever permitted. Client volume stays deliberately limited so responsibility remains direct and responsive.
Photo: Unsplash
Pricing posture
What ownership costs, and why
Why complexity drives the rate
Titles and specialties alone do not determine workload. Authorization volume, payer behavior, denial rates, and workflow maturity do. That is why pricing is aligned to operational reality, not credentials. Efficient, established practices can benefit from lower pricing over time, while new or high-friction practices receive the support they actually need.
What you are actually paying for
The engagement covers more than claim submission. It covers ownership of your revenue. Most practices come to us after offshore billing, slow responses, unclear accountability, or “submit and wait” workflows. We operate differently by design.
Direct access
Direct access to the person managing your billing
Onboarding depth
Deep involvement during onboarding and stabilization, when enrollment and configuration mistakes become tomorrow’s denials.
Proactive follow-up
Proactive payer follow-up and issue resolution before problems age into write-offs.
Operational guidance
Real guidance when workflows break, change, or stall, including credentialing and enrollment continuity inside the RCM relationship.
What the fee buys
Ownership of the revenue work, not a cheaper submit queue.
Direct access, onboarding depth, payer follow-up, and credentialing continuity inside full RCM are why ranges sit above many advertised 2%–3% offers.
Why do some RCM companies advertise 2%–3%?
It is a fair question. Many billing and RCM companies advertise 2%–3% of collections as a comparison point. Our current indicative ranges are higher because they cover a broader scope and more follow-through. The headline percentage is only one part of the comparison. Look at what work is included, who does it, how collections are defined, and whether someone owns the claim after it leaves the clearinghouse. Compare scope and accountability alongside the rate.
Different product, different percentage
A 2%–3% offer often prices claim submission and light posting. OneSource’s current ranges cover connected RCM work, including denials, appeals, enrollment continuity, authorization friction, EHR configuration problems, and payer follow-through.
Boutique capacity instead of volume labor
We are owner-operated and deliberately limited in client volume. Models built around offshore labor, ticket queues, or high client-to-biller ratios can advertise lower percentages because the operating cost and accountability are structured differently. Core PHI work stays in our controlled environment.
Credentialing stays inside the relationship
Under the full RCM model, credentialing and payer enrollment support are typically included as part of the connected workflow. Fragmenting enrollment from billing is a common way low-rate packages look cheaper until claims stall for panel, ERA/EFT, or taxonomy reasons.
Gross Collections, confirmed in writing
When percentage pricing is permitted, fees are based on Gross Collections managed through the billing workflow unless Schedule A states otherwise. Definitions of “collections,” self-pay treatment, and exclusions vary widely across vendors. We discuss those boundaries upfront so the percentage is comparable to the work actually performed.
The expensive part is usually leakage
A lower percentage with limited follow-through can cost more than a higher percentage on work that prevents avoidable denials, unfinished enrollments, and aged AR. We do not promise a universal recovery percentage or a guaranteed lift. We own the operational work that determines whether revenue is collectible.
A fair comparison
The proposal should make the comparison possible: included work, Gross Collections basis, exclusions, responsible team, and final rate are confirmed in Schedule A for your practice.
State-specific pricing considerations
In some states, regulations may limit or restrict percentage-based billing arrangements. When percentage pricing cannot be used, we discuss compliant alternatives upfront, such as tiered claim volume, number of claims submitted, fixed monthly fees, or hybrid arrangements.
How scope becomes a fee
Pricing follows the work the practice needs owned
Collections basis, payer complexity, enrollment responsibilities, and follow-through are considered together in the written scope.
Photo: Unsplash Collections and reconciliation
The agreement defines the Gross Collections basis and the revenue activity included in the engagement.
Photo: Unsplash Enrollment and payer scope
Provider, location, product, and state-program responsibilities can materially change the work required.
Photo: Unsplash Follow-through after submission
Posting, denial resolution, and open-balance ownership distinguish ongoing RCM from a submission-only service.
How pricing works
When permitted, billing fees are calculated as a percentage of Gross Collections, gross insurance and patient collections managed through the billing workflow, unless Schedule A states otherwise. The percentage reflects the operational work required behind each dollar collected. Two practices collecting the same amount may require very different levels of effort.
- Claim volume relative to revenue
- Authorization requirements
- Payer response time and denial rates
- Credentialing and enrollment activity
- Payer carve-outs
- EHR complexity and reconciliation reliability
- Level of follow-up and rework required
Fee basis
The percentage applies to Gross Collections unless Schedule A states otherwise.
The written proposal defines included collections, exclusions, service scope, and any state-specific alternative structure.
Photo: Unsplash
What collections are included
Pricing is based on Gross Collections managed through the billing workflow. This may include self-pay or direct-pay collections depending on how those payments are processed and reconciled. Self-pay activity often still requires billing intervention for accurate posting, reconciliation, and reporting. Self-pay or direct-pay collections not handled within the billing system are always excluded. Any additional exclusions are confirmed before engagement.
Indicative support tiers
Pricing ranges shown are indicative only. Final pricing is confirmed in writing prior to engagement and documented in Schedule A. Titles and specialties alone do not determine workload. Authorization volume, payer behavior, denial rates, and workflow maturity do.
Foundational Revenue Support, 7.5% to 9.0%
New practices, authorization-heavy workflows, Medicaid or carve-outs, and active credentialing and enrollment. This tier covers stabilization and payer navigation. A common new behavioral-health practice baseline is approximately 7.75%, subject to complexity and scope. Every engagement is confirmed in writing, and 7.5% is the lower bound of the Foundational range.
Standard Revenue Support, 6.5% to 7.25%
Established workflows, mixed commercial payer mix, and reduced authorization volume. Balanced oversight as workflows mature.
Streamlined Revenue Support, 5.25% to 6.25%
Low claim volume per dollar, minimal authorization requirements, and predictable revenue cycles. Efficient, lower-intervention billing.
How pricing evolves over time
Newer practices often begin in Foundational Revenue Support because of enrollment delays, authorization workflows, documentation alignment, and system setup. Practices operating with stable enrollments and consistent workflows often qualify for Standard or Streamlined pricing over time. Reviews typically occur after approximately 120 days of operational stability based on objective workflow criteria, and any rate change must be agreed in writing and applies prospectively.
- Claim quality and rework levels
- Authorization readiness
- Denial and follow-up volume
- Documentation consistency
- Payer enrollment stability
- Workflow maturity
What is included
Claim submission and follow-up
Submission work connected to payer response and resolution.
Denial management and appeals
Denial work treated as an operational signal.
Payment posting and reconciliation
Posting and reconciliation discipline so collections reporting stays clear.
Payer communication
Direct payer follow-up when status, enrollment, or payment questions stall revenue.
Credentialing and enrollment support
When you are under the full RCM model, credentialing support is included in the engagement. Credentialing is generally scoped as part of connected RCM work.
Revenue troubleshooting and guidance
Root-cause guidance when configuration, enrollment, or workflow gaps show up in the claim lifecycle.
How the working relationship is structured
Owner-operated involvement
Core PHI work stays in the controlled OneSource environment with accountable oversight.
Accessible history
Your team can follow the practice history without reconstructing it from isolated ticket updates.
Written pricing terms
The rate, collections basis, exclusions, and any engagement-specific fees are discussed before work begins.
Managed capacity
Client volume is limited so follow-up quality stays ahead of growth.
Follow-through after submission
Payer response, denials, and unresolved balances remain part of the operating scope.
Next step
Match the pricing tier to actual scope.
Service mix, payer complexity, authorization volume, systems, and workflow maturity shape the written proposal.
Still have questions?
Why are you more expensive than companies advertising 2%–3%?
The scopes are different. Many 2%–3% offers are built around high-volume or lighter-touch submission models. OneSource is boutique and owner-operated, with direct access, denial and follow-up ownership, credentialing inside full RCM when included, no offshore PHI handling, and pricing tied to Gross Collections work confirmed in Schedule A. A lower percentage can still cost more when claims stall, enrollments are incomplete, or no one owns the work after acceptance.
Do you charge extra for credentialing?
If you are under our full RCM model, credentialing support is included. It is generally scoped as part of connected RCM work. An established practice may discuss a written engagement-specific adjustment.
Do I need to be on a certain EHR?
We work with major outpatient platforms used by the practices we support, including experience with systems such as Tebra (Kareo), TherapyNotes, and eClinicalWorks. Other platforms may be workable depending on the engagement. We can also help you evaluate a suitable EHR when configuration and billing readiness are part of the problem.
Can I start small?
Yes. We work with solo providers and growing group practices. Standard RCM agreements are month-to-month with 30 days’ written notice. Most practices do not pay an onboarding fee; implementation fees apply only when specifically established for the engagement.
Do you work with mental health only?
We specialize in behavioral health and also support other outpatient specialties where connected RCM work matters, including primary care, dermatology, and small specialty practices. Specialty fit is confirmed in conversation.
Is the common new practice rate 7.5%?
Foundational Revenue Support runs from 7.5% to 9.0%. A common new behavioral-health practice baseline is approximately 7.75%, subject to complexity and scope. Final rates are confirmed in Schedule A.
Request pricing for the work in scope
Specialty, states, systems, payer mix, and service requirements determine where the engagement fits.